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See a sample rate comparisonHCPCS L6687 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Upper extremity addition, frame type socket, below elbow or wrist disarticulation
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Upper Extremity Prosthetic Additions |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for L6687 |
National average reimbursement for HCPCS L6687 by major payers:
$597.62
$393.50
$422.86
$817.80
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HCPCS L6687
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$993.53Published rateScottish Rite Childrens Medical Ctr, Children'S Healthcare Of Atlanta At Scottish Rite
Childrens Healthcare Of Atlanta Inc
$436.85Published rateHospital Authority Of Jefferson County And The City Of Louisville, Jefferson Hospital
Hospital Authority Of Jefferson County And The City Of Louisville
$349.19Published rateRedmond Park Hospital LLC, Redmond Hospital Based Services LLC
Redmond Park Hospital LLC
$313.60Published rateUnilab Corporation, Quest Diagnostics Clinical Lab
$260.00Published rate
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See a sample payer proposalHCPCS L6687 vs. Other Upper Extremity Prosthetic Additions Codes
The HCPCS L6687 code is part of the Prosthetic Procedures services used for Upper Extremity Prosthetic Additions. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS L6687 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| L6686-HCPCS | Moderate | Upper extremity addition, suction socket |
| L6687-HCPCS | Moderate | Upper extremity addition, frame type socket, below elbow or wrist disarticulation |
| L6688-HCPCS | Moderate | Upper extremity addition, frame type socket, above elbow or elbow disarticulation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L6687. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L6687 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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